Individual provider Active NPI

Maria Anjoline Lopez-Rullamas, D.C.

  • Chiropractor
  • Northridge, CA
National Provider Identifier
1689032518
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33296 Issued in CA
Practice address
18531 Roscoe Blvd Ste 220
Northridge, CA 91324-4643
Phone
(818) 414-0611
NPI assigned
Feb 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33296 CA Primary

Addresses

Primary practice location

18531 Roscoe Blvd Ste 220
Northridge, CA 91324-4643

Mailing address

18531 Roscoe Blvd Ste 220
Northridge, CA 91324-4643
Phone (818) 414-0611

Other practice location 1

17227 Hiawatha St
Granada Hills, CA 91344-6124
Phone (818) 414-0611

Other names 1

  • Dr. Maria Anjoline Lopez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33296CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lopez-Rullamas Chiropractic Inc CurrentSince Mar 1, 2021 Accepting new patients
Youngevity Transport, Inc. PastSince Feb 1, 2021 Accepting new patients

Locations

18531 Roscoe Blvd
Ste 220
Northridge, CA 91324
Phone (818) 414-0611

18531 Roscoe Blvd
Ste 200
Northridge, CA 91324
Phone (818) 488-4007

80 Eureka Sq
Ste 217
Pacifica, CA 94044
Phone (650) 557-0885

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1689032518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 220",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244643",
            "telephone_number": "818-414-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 220",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244643",
            "telephone_number": "818-414-0611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17227 Hiawatha St",
            "address_purpose": "LOCATION",
            "city": "Granada Hills",
            "state": "CA",
            "postal_code": "913446124",
            "country_code": "US",
            "telephone_number": "818-414-0611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ-RULLAMAS",
        "first_name": "MARIA ANJOLINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-06",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA ANJOLINE",
            "last_name": "LOPEZ",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.